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� <br /> Work Activity Work Order �� <br /> , , : . . <br /> ISSUOd By WMW WARD,MICHAEL W. <br /> Issued Department rw PUBLIC WORKS <br /> Datelssued enonoo� <br /> Fund qo� Account 5 Program ��o Funclion >>g Aclivily ��5 <br /> Progren <br /> TiUC REPLACEa16VERALENE WAY 710179G75 <br /> Work Order No 24��0899 PfOJ2Cl ACGViIy TynC COHRECTIVE A1�INTENANCE S181U5 CL <br /> Dale ei2o�zoo; Time oe.�a Original WO Billing <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Street <br /> Apartment No City <br /> Slate Zip <br /> Subdivision Change Map Y/N <br /> Phone No l ) - [zt <br /> Second Phone 1 � • Lxt <br /> E-A4ail Address <br /> Probiem loformation <br /> Address qt6 5���'O� VERALENE WAYSW <br /> From Cross Sireel <br /> To Cross Sireet <br /> City Zip <br /> Subdivision Map Bcok R1ap Reference <br /> Problem <br /> Sub Problem <br /> Requesled By Date Requesled <br /> Agency Related Request <br /> Initiated From <br /> Uliliry Locate (USA) No Called Date Expiralion Date <br /> Assic�nment Information <br /> Dept Priorily Estimated Hours <br /> Crew <br /> Contractar <br /> Assigned To <br /> Flssigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date Scheduied Time <br /> Raute Roule Sequence <br /> Comments <br /> Action Taken SETTER INSTALLED PER MEASUREMENTS ON CHART. <br /> Complcled By wo� N'Er�'��i,uenN� Approved By <br /> Start Date i � Time Dale Completed 9�zorzao� Tlme <br /> Job Cost In(orrnation(Y/N) Follow Up7 Permit No <br /> Problem Delails <br /> CJSTOMER REPLACING SERVICE LlNE. INSTALL SETTER WNILE SHUT <br />